Pet Change Of Ownership Form printable pdf download

Pet Change Of Ownership Form

Microchip No:

Member ID:

Collar Tag:

CHANGE OF OWNERSHIP

Change Of Ownership must be received in writing. The form needs to be filled out by both the CURRENT

and the NEW owners and both MUST sign the forms. (***Unsigned or copied forms will NOT be accepted and will delay the process.***)

The fee of $20.00 inc GST (subject to change) applies to all registrations OVER 3 months since original date of registration.

Please attach a cheque or Money Order to this form or fill out the credit card section below when sending to us.

PLEASE RETURN ORIGINAL SIGNED DOCUMENT BY MAIL TO PO BOX 6804 BAULKHAM HILLS NSW 2153

I confirm that I am the retiring/legal owner of the pet described and request that Petsafe update its records

Signed:

Date:

I confirm that I am the NEW legal owner of the pet described and request that Petsafe update its records

Signed:

Date:

Dog

Cat

Other

Name

Breed

Colour

D.O.B

Male

Female

Entire

Desexed

Is the dog -

Restricted Breed

Menacing

Dangerous

Pet Address (if different to above)

Suburb/City

State

Postcode

Second Microchip

PAYMENT DETAILS

Petbase Pty Ltd ABN 46 095 610 334 Trading as Petsafe

PO Box 6804 Baulkham Hills NSW 2153

Unit 1C 5 Salisbury Road Castle Hill NSW 2154

Phone: 02 8850 6800

Fax: 02 9894 5782

.au

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Pet Change Of Ownership Form